If you are interested in presenting to our membership, please contact the LeadingAge New Jersey office.
OVERVIEW:
NJHA and Leading Age NJ are co-hosting this seminar designed to inform providers of the
changing Medicaid Managed Care environment. Providers will learn about recent policy changes
and operational updates from the Department of Human Services. In addition, each of the
Medicaid Managed Care Organizations will offer presentations on their Medicaid Managed care
operations for acute care. MLTSS and the upcoming (July 1) Behavioral Health carve-in. Topics
will include eligibility determinations, enrollment, care management, quality measurement,
claims processing and payment denials and appeals, readmissions and cost-share.
OBJECTIVES:
1. To learn about managed care process changes, including eligibility, enrollment and claims
processing
2. To facilitate dialogue between payers, providers and the state.
3. To learn about the Department of Human Services’ ongoing implementation of Medicaid
expansion, MLTSS and the renewal of the comprehensive Medicaid waiver.
TARGET AUDIENCE:
Managed care executives, long term care and assisted living administrators, home and
community-based providers, finance and billing directors, care managers and discharge planners.
CONTINUING EDUCATION CREDITS:
This continuing education program is sponsored/conducted by the Health Research and
Educational Trust and is in compliance with N.J.A.C. 8:34-7.3 to provide licensed nursing home
administrator (LNHA) and certified assisted living administrator (CALA) continuing education
credits accepted by the Nursing Home Administrators Licensing Board. This education activity
may only be used for continuing education credit and not to meet academic college credits.
This education activity has been approved for 3.5 LNHA/CALA credits.
